Çocukluk Çağında Nadir Görülen Bir Kraniyal Sinir Tutulumu: Akut İzole Tek Taraflı Glossofaringeal Sinir Felci
Abstract
İzole glossofaringeal sinir paralizisi çocukluk çağında çok nadir görülen bir durumdur. Geçmişte, bu durumda yer kaplayıcı oluşum, infeksiyon, travma, vasküler anomaliler, otoimmun hastalıklar veya iskemiye bağlı nöropatinin eşlik ettiği olgular bildirilmiştir. Biz bu makalede 11 yaşında akut başlangıçlı tek taraflı izole glossofaringeal sinir tutulumu olan bir olguyu sunmaktayız. Hasta nazone konuşma ve sıvı gıdaların nazal regürjitasyonu ile başvurdu. İnfeksiyon, yakın zamanda aşılanma veya travma öyküsü yoktu. Otorinolaringolojik muayenesinde izole glossofaringeal sinir paralizisi dışında bir bulgu gözlenmedi. Tanısal görüntüleme ile patolojik bulgu saptanmadı. Hasta geniş spektrumlu antibiyotik ve kortikosteroid uygulanarak başarı ile tedavi edildi.
Çocuklar, nadiren nedeni belirlenemeyen akut başlangıçlı izole alt kraniyal sinir felci ile başvurabilirler. Kapsamlı tetkikler ile altta yatan neden belirlenemediğinde düzenlenen anti-inflamatuar tedavi ve antibiyoterapi ile kısa sürede yüz güldürücü sonuçlar alınabilir.
Supporting Institution
yok
Project Number
yok
References
- Referans1 Bertsias, G. K., Ioannidis, J. P. A., Aringer, M., Bollen, E., Bombardieri, S., Bruce, I. N., Cervera, R., Dalakas, M., Doria, A., Hanly, J. G., Huizinga, T. W. J., Isenberg, D., Kallenberg, C., Piette, J. C., Schneider, M., Scolding, N., Smolen, J., Stara, A., Tassiulas, I.,Boumpas, D. T. (2010). EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs. Annals of the Rheumatic Diseases, 69(12), 2074–2082.
- Referans2 Bozkurt, G., Hazer, B., Yaman, M. E., Akbay, A., & Akalan, N. (2010). Isolated paralysis of glossopharyngeal and vagus nerve associated with type II occipital condyle fracture: case report. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 26(5), 719–722. https://doi.org/10.1007/S00381-009-1070-9
- Referans3 Das, P., Banerjee, S., & Roy, A. (2021). Glossopharyngeal and Vagus Nerve Palsy in a Child With Scrub Typhus Meningitis. Indian Pediatrics, 58(1), 81–82. https://doi.org/10.1007/s13312-021-2103-z
- Referans4 Dettling, S. D., Morscher, M. A., Masin, J. S., & Adamczyk, M. J. (2013). Cranial nerve IX and X impairment after a sports-related Jefferson (C1) fracture in a 16-year-old male: a case report. Journal of Pediatric Orthopedics, 33(3). https://doi.org/10.1097/BPO.0B013E3182746BC1
- Referans5 Finsterer, J., & Grisold, W. (2015). Disorders of the lower cranial nerves. Journal of Neurosciences in Rural Practice, 6(3), 377–391. https://doi.org/10.4103/0976-3147.158768
- Referans6 García Santos, J. M., Sánchez Jiménez, S., Tovar Pérez, M., Moreno Cascales, M., Lailhacar Marty, J., & Fernández-Villacañas Marín, M. A. (2018). Tracking the glossopharyngeal nerve pathway through anatomical references in cross-sectional imaging techniques: a pictorial review. Insights into Imaging, 9(4), 559–569. https://doi.org/10.1007/S13244-018-0630-5
- Referans7 Korinthenberg, R., Schessl, J., & Kirschner, J. (2007). Clinical presentation and course of childhood Guillain-Barré syndrome: a prospective multicentre study. Neuropediatrics, 38(1), 10–17. https://doi.org/10.1055/S-2007-981686
- Referans8 Morelli, N., Mancuso, M., Cafforio, G., Gallerini, S., Pittiglio, L., Tonelli, S., Pozzetti, N., Benedetti, L., Tavarelli, C., Capellini, C., & Tartaglione, A. (2008). Ramsay-Hunt syndrome complicated by unilateral multiple cranial nerve palsies. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 29(6), 497–498. https://doi.org/10.1007/S10072-008-1022-2
- Referans9 Mueller, C. A., Khatib, S., Landis, B. N., Temmel, A. F. P., & Hummel, T. (2007). Gustatory function after tonsillectomy. Archives of Otolaryngology--Head & Neck Surgery, 133(7), 668–671. https://doi.org/10.1001/ARCHOTOL.133.7.668
- Referans10 Petko, B., & Tadi, P. (2021). Neuroanatomy, Nucleus Ambiguus. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK547744/
- Referans11 Şanal Baş, S., Orhan, S., Şen, E., Türkmen, Y., & Yelken, B. (2019). Herpes Simplex Encephalitis Presenting with Isolated Ninth Cranial Nerve Palsy: A Case Report. Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi, 10(3), 99–101. https://doi.org/10.33381/DCBYBD.2019.2147
- Referans12 Savarimuthu, M. K., & Nair, A. K. (2020). A Case of Isolated Unilateral Glossopharyngeal Nerve Palsy. Clinical Medicine & Research, 18(1), 37–41. https://doi.org/10.3121/CMR.2018.1452
- Referans13 Velázquez, J. M., Montero, R. G., Garrido, J. A., & Tejerina, A. A. (1999). Afectacion de nervios craneales bajos como manifestacion incial de la borreliosis de Lyme. Neurologia, 14(1), 36–37.https://www.unboundmedicine.com/medline/citation/10079691/[Lower_cranial_nerve_involvement_as_the_initial_manifestation_of_Lyme_borreliosis]_
- Referans14 Wilson-Pauwels, L., Stewart, PAkesson, E. J., & Spacey, S. D. (2013). Cranial Nerves: Function & Dysfunction. 247.
Abstract
Isolated glossopharyngeal nerve palsy is a very rare condition in childhood. Several cases associated with space-occupying lesions, infections, trauma, vascular abnormalities, autoimmune diseases, or neuropathy due to ischemia have been reported. Here we report an 11-year-old boy with acute onset, unilateral, isolated glossopharyngeal involvement. The patient presented with rhinolali and nasopharyngeal regurgitation of liquids. He had no history of infection, recent vaccination, or trauma. Isolated glossopharyngeal nerve paralysis was the only pathological finding in his otorhinolaryngological examination. Diagnostic imaging was normal. The patient was successfully treated with broad-spectrum antibiotics and corticosteroids.
Children can rarely present with acute onset isolated lower cranial nerve palsy due to inflammatory processes of unknown cause. The cranial neuropathies with unknown causes despite extensive research can be treated with anti-inflammatory therapy and antibiotics, and favorable results can be obtained in a short time.
Project Number
yok
References
- Referans1 Bertsias, G. K., Ioannidis, J. P. A., Aringer, M., Bollen, E., Bombardieri, S., Bruce, I. N., Cervera, R., Dalakas, M., Doria, A., Hanly, J. G., Huizinga, T. W. J., Isenberg, D., Kallenberg, C., Piette, J. C., Schneider, M., Scolding, N., Smolen, J., Stara, A., Tassiulas, I.,Boumpas, D. T. (2010). EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs. Annals of the Rheumatic Diseases, 69(12), 2074–2082.
- Referans2 Bozkurt, G., Hazer, B., Yaman, M. E., Akbay, A., & Akalan, N. (2010). Isolated paralysis of glossopharyngeal and vagus nerve associated with type II occipital condyle fracture: case report. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 26(5), 719–722. https://doi.org/10.1007/S00381-009-1070-9
- Referans3 Das, P., Banerjee, S., & Roy, A. (2021). Glossopharyngeal and Vagus Nerve Palsy in a Child With Scrub Typhus Meningitis. Indian Pediatrics, 58(1), 81–82. https://doi.org/10.1007/s13312-021-2103-z
- Referans4 Dettling, S. D., Morscher, M. A., Masin, J. S., & Adamczyk, M. J. (2013). Cranial nerve IX and X impairment after a sports-related Jefferson (C1) fracture in a 16-year-old male: a case report. Journal of Pediatric Orthopedics, 33(3). https://doi.org/10.1097/BPO.0B013E3182746BC1
- Referans5 Finsterer, J., & Grisold, W. (2015). Disorders of the lower cranial nerves. Journal of Neurosciences in Rural Practice, 6(3), 377–391. https://doi.org/10.4103/0976-3147.158768
- Referans6 García Santos, J. M., Sánchez Jiménez, S., Tovar Pérez, M., Moreno Cascales, M., Lailhacar Marty, J., & Fernández-Villacañas Marín, M. A. (2018). Tracking the glossopharyngeal nerve pathway through anatomical references in cross-sectional imaging techniques: a pictorial review. Insights into Imaging, 9(4), 559–569. https://doi.org/10.1007/S13244-018-0630-5
- Referans7 Korinthenberg, R., Schessl, J., & Kirschner, J. (2007). Clinical presentation and course of childhood Guillain-Barré syndrome: a prospective multicentre study. Neuropediatrics, 38(1), 10–17. https://doi.org/10.1055/S-2007-981686
- Referans8 Morelli, N., Mancuso, M., Cafforio, G., Gallerini, S., Pittiglio, L., Tonelli, S., Pozzetti, N., Benedetti, L., Tavarelli, C., Capellini, C., & Tartaglione, A. (2008). Ramsay-Hunt syndrome complicated by unilateral multiple cranial nerve palsies. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 29(6), 497–498. https://doi.org/10.1007/S10072-008-1022-2
- Referans9 Mueller, C. A., Khatib, S., Landis, B. N., Temmel, A. F. P., & Hummel, T. (2007). Gustatory function after tonsillectomy. Archives of Otolaryngology--Head & Neck Surgery, 133(7), 668–671. https://doi.org/10.1001/ARCHOTOL.133.7.668
- Referans10 Petko, B., & Tadi, P. (2021). Neuroanatomy, Nucleus Ambiguus. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK547744/
- Referans11 Şanal Baş, S., Orhan, S., Şen, E., Türkmen, Y., & Yelken, B. (2019). Herpes Simplex Encephalitis Presenting with Isolated Ninth Cranial Nerve Palsy: A Case Report. Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi, 10(3), 99–101. https://doi.org/10.33381/DCBYBD.2019.2147
- Referans12 Savarimuthu, M. K., & Nair, A. K. (2020). A Case of Isolated Unilateral Glossopharyngeal Nerve Palsy. Clinical Medicine & Research, 18(1), 37–41. https://doi.org/10.3121/CMR.2018.1452
- Referans13 Velázquez, J. M., Montero, R. G., Garrido, J. A., & Tejerina, A. A. (1999). Afectacion de nervios craneales bajos como manifestacion incial de la borreliosis de Lyme. Neurologia, 14(1), 36–37.https://www.unboundmedicine.com/medline/citation/10079691/[Lower_cranial_nerve_involvement_as_the_initial_manifestation_of_Lyme_borreliosis]_
- Referans14 Wilson-Pauwels, L., Stewart, PAkesson, E. J., & Spacey, S. D. (2013). Cranial Nerves: Function & Dysfunction. 247.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Olgu sunumları |
| Authors | |
| Project Number | yok |
| Publication Date | June 23, 2023 |
| Submission Date | November 17, 2021 |
| Published in Issue | Year 2023 Volume: 12 Issue: 2 |
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